Applies from Z96 Presence of other functional implants
Excludes2 (not included here)
complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
MS-DRG index
Defines the logic of DRG(s) 698-700 in MDC 11.
Approximate ICD-9-CM (GEMs)
V43.5 Bladder replaced by other means (approximate)
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z96.0
Back-references to Z96
Type 2 Excludes: M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified ("presence of functional implants and other devices (Z96-Z97)")
Type 1 Excludes: Z18 Retained foreign body fragments ("organ or tissue replaced by means other than transplant (Z96.-, Z97.-)")
Type 2 Excludes: Z46 Encounter for fitting and adjustment of other devices ("presence of prosthetic and other devices (Z95-Z97)")
Type 2 Excludes: Z78 Other specified health status ("postprocedural status (Z93-Z99)")
Type 2 Excludes: Z87.7 Personal history of (corrected) congenital malformations ("presence of other functional implants (Z96.-)")